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General NPI Number Information
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NPI Number | 1184774242
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Entity Type | Individual
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Provider Name | LINDA ANN STONE PHD RNC APNP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | 13965 W BURLEIGH RD STE 103
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City | BROOKFIELD
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State | WI
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Zip | 53005-3064
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Country | US
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Telephone | 262-785-1404
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Fax | 262-785-1409
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Provider Business Mailing Address
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Address Line | 2920 S WENTWORTH AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-2512
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Country | US
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Telephone | 414-744-6333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1458 033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2814 - 057
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License Number State | WI
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